1964_MEDICAL_PRACTITIONERS_(REGISTRATION_AND_DISCIPLINARY_PROCEDURE)_REGULATIONS — Page 19

1982 Ed.]

Medical Practitioners (Registration and Disciplinary Procedure) Regulations

[CAP. 161

A 19

FORM 2

MEDICAL REGISTRATION ORDINANCE

(Chapter 161)

Medical Practitioners (REGISTRATION and Disciplinary Procedure) Regulations

CERTIFICATE OF EXPERIENCE

[reg. 5.]

In accordance with section 9 of the Medical Registration Ordinance, it is hereby certified-

(1) that
(Name of applicant)
of
(Address)

has been employed as shown in a resident medical capacity (as defined in section 9 of the Medical Registration Ordinance) in the under-mentioned approved Hospitals or Institutions for a period of not less than 12 months, namely
months.

Period of Employment-From
to

(2) that during the said period the applicant has been engaged in Medicine
as
(Name of Post)
in
(Title of hospital or institution in full in capital letters)

for a period of not less than 6 months, namely
months, and that his service while so employed has been satisfactory.

(3) that during the said period the applicant has been engaged in Surgery
as
(Name of post)
in
(Title of hospitals or institutions in full in capital letters)

for a period of not less than 6 months, namely
months, and that his service while so employed has been satisfactory.

(4) that any time spent in Midwifery which has been counted for the purposes of the foregoing paragraphs (2) and (3) as time spent in Medicine/Surgery is a period not exceeding 6 months, namely
months.

(5) that the *University of Hong Kong/Chinese University of Hong Kong is satisfied that the said
(Name of applicant for full registration)

has satisfied the conditions required by section 9 of the Medical Registration Ordinance.

Dated this
...day of
19

*(Delete as appropriate).

Dean, Faculty of Medicine
*University of Hong Kong
Chinese University of Hong Kong

[Subsidiary]

L.N. 330 of 1982.